How much rates vary
Facilitymedian $105 · 10th to 90th $37 to $275Professionalmedian $83 · 10th to 90th $35 to $219
Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $50.12 Median $50.12 Typical High $199.53 | Facility | None | $50.12 | $50.12 | $199.53 |
Aetna Setting Professional Modifier None (both parts) Typical Low $35.48 Median $50.12 Typical High $302.00 | Professional | None (both parts) | $35.48 | $50.12 | $302.00 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $9.55 Median $14.13 Typical High $107.15 | Professional | 26 · Professional part | $9.55 | $14.13 | $107.15 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $25.70 Median $35.48 Typical High $41.69 | Professional | TC · Technical part | $25.70 | $35.48 | $41.69 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $32.36 Median $131.83 Typical High $263.03 | Professional | None (both parts) | $32.36 | $131.83 | $263.03 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $9.55 Median $34.67 Typical High $74.13 | Professional | 26 · Professional part | $9.55 | $34.67 | $74.13 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $23.44 Median $85.11 Typical High $177.83 | Professional | TC · Technical part | $23.44 | $85.11 | $177.83 |
Cigna Setting Facility Modifier None Typical Low $89.13 Median $102.33 Typical High $151.36 | Facility | None | $89.13 | $102.33 | $151.36 |
Cigna Setting Professional Modifier None (both parts) Typical Low $39.81 Median $52.48 Typical High $151.36 | Professional | None (both parts) | $39.81 | $52.48 | $151.36 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $11.48 Median $15.14 Typical High $45.71 | Professional | 26 · Professional part | $11.48 | $15.14 | $45.71 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $28.18 Median $37.15 Typical High $107.15 | Professional | TC · Technical part | $28.18 | $37.15 | $107.15 |
DeanCare Setting Facility Modifier None Typical Low $37.15 Median $251.19 Typical High $338.84 | Facility | None | $37.15 | $251.19 | $338.84 |
DeanCare Setting Facility Modifier TC · Technical part Typical Low $218.78 Median $269.15 Typical High $338.84 | Facility | TC · Technical part | $218.78 | $269.15 | $338.84 |
DeanCare Setting Professional Modifier None (both parts) Typical Low $61.66 Median $77.62 Typical High $93.33 | Professional | None (both parts) | $61.66 | $77.62 | $93.33 |
DeanCare Setting Professional Modifier 26 · Professional part Typical Low $17.38 Median $23.44 Typical High $26.30 | Professional | 26 · Professional part | $17.38 | $23.44 | $26.30 |
DeanCare Setting Professional Modifier TC · Technical part Typical Low $43.65 Median $54.95 Typical High $66.07 | Professional | TC · Technical part | $43.65 | $54.95 | $66.07 |
Medica Setting Facility Modifier None Typical Low $30.90 Median $64.57 Typical High $223.87 | Facility | None | $30.90 | $64.57 | $223.87 |
Medica Setting Professional Modifier None (both parts) Typical Low $38.02 Median $131.83 Typical High $218.78 | Professional | None (both parts) | $38.02 | $131.83 | $218.78 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $12.02 Median $43.65 Typical High $72.44 | Professional | 26 · Professional part | $12.02 | $43.65 | $72.44 |
Medica Setting Professional Modifier TC · Technical part Typical Low $25.70 Median $85.11 Typical High $199.53 | Professional | TC · Technical part | $25.70 | $85.11 | $199.53 |
Network Health Setting Facility Modifier None Typical Low $48.98 Median $48.98 Typical High $64.57 | Facility | None | $48.98 | $48.98 | $64.57 |
Network Health Setting Professional Modifier None (both parts) Typical Low $46.77 Median $51.29 Typical High $134.90 | Professional | None (both parts) | $46.77 | $51.29 | $134.90 |
Network Health Setting Professional Modifier 26 · Professional part Typical Low $13.49 Median $15.85 Typical High $38.02 | Professional | 26 · Professional part | $13.49 | $15.85 | $38.02 |
Network Health Setting Professional Modifier TC · Technical part Typical Low $33.11 Median $35.48 Typical High $95.50 | Professional | TC · Technical part | $33.11 | $35.48 | $95.50 |
Prevea360 Setting Facility Modifier None Typical Low $29.51 Median $37.15 Typical High $64.57 | Facility | None | $29.51 | $37.15 | $64.57 |
Quartz Setting Professional Modifier None Typical Low $36.31 Median $75.86 Typical High $147.91 | Professional | None | $36.31 | $75.86 | $147.91 |
Quartz Setting Professional Modifier None (both parts) Typical Low $47.86 Median $47.86 Typical High $107.15 | Professional | None (both parts) | $47.86 | $47.86 | $107.15 |
Quartz Setting Professional Modifier 26 · Professional part Typical Low $13.49 Median $13.49 Typical High $33.88 | Professional | 26 · Professional part | $13.49 | $13.49 | $33.88 |
Quartz Setting Professional Modifier TC · Technical part Typical Low $33.88 Median $33.88 Typical High $72.44 | Professional | TC · Technical part | $33.88 | $33.88 | $72.44 |
Security Health Setting Professional Modifier None Typical Low $87.10 Median $87.10 Typical High $87.10 | Professional | None | $87.10 | $87.10 | $87.10 |
Security Health Setting Professional Modifier None (both parts) Typical Low $67.61 Median $181.97 Typical High $223.87 | Professional | None (both parts) | $67.61 | $181.97 | $223.87 |
Security Health Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $30.20 Typical High $54.95 | Professional | 26 · Professional part | $22.39 | $30.20 | $54.95 |
Security Health Setting Professional Modifier TC · Technical part Typical Low $40.74 Median $60.26 Typical High $128.82 | Professional | TC · Technical part | $40.74 | $60.26 | $128.82 |
The Alliance Setting Professional Modifier None (both parts) Typical Low $60.26 Median $100.00 Typical High $218.78 | Professional | None (both parts) | $60.26 | $100.00 | $218.78 |
The Alliance Setting Professional Modifier 26 · Professional part Typical Low $17.38 Median $48.98 Typical High $74.13 | Professional | 26 · Professional part | $17.38 | $48.98 | $74.13 |
United Setting Facility Modifier None Typical Low $229.09 Median $229.09 Typical High $229.09 | Facility | None | $229.09 | $229.09 | $229.09 |
United Setting Professional Modifier None (both parts) Typical Low $32.36 Median $70.79 Typical High $138.04 | Professional | None (both parts) | $32.36 | $70.79 | $138.04 |
United Setting Professional Modifier 26 · Professional part Typical Low $10.47 Median $22.39 Typical High $44.67 | Professional | 26 · Professional part | $10.47 | $22.39 | $44.67 |
United Setting Professional Modifier TC · Technical part Typical Low $22.39 Median $48.98 Typical High $93.33 | Professional | TC · Technical part | $22.39 | $48.98 | $93.33 |
10 more rates with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $25.12 Median $25.12 Typical High $154.88 | Professional | 52 · Reduced service | $25.12 | $25.12 | $154.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.00 Median $10.00 Typical High $61.66 | Professional | 53 · Discontinued | $10.00 | $10.00 | $61.66 |
DeanCare Setting Facility Modifier 80 · Assistant surgeon Typical Low $34.67 Median $42.66 Typical High $54.95 | Facility | 80 · Assistant surgeon | $34.67 | $42.66 | $54.95 |
DeanCare Setting Facility Modifier 81 · Minimal assistant surgeon Typical Low $34.67 Median $42.66 Typical High $54.95 | Facility | 81 · Minimal assistant surgeon | $34.67 | $42.66 | $54.95 |
DeanCare Setting Facility Modifier 82 · Assistant surgeon, no resident Typical Low $34.67 Median $42.66 Typical High $54.95 | Facility | 82 · Assistant surgeon, no resident | $34.67 | $42.66 | $54.95 |
DeanCare Setting Facility Modifier AS · PA/NP assist Typical Low $30.20 Median $38.02 Typical High $47.86 | Facility | AS · PA/NP assist | $30.20 | $38.02 | $47.86 |
DeanCare Setting Professional Modifier 80 · Assistant surgeon Typical Low $9.77 Median $12.30 Typical High $14.79 | Professional | 80 · Assistant surgeon | $9.77 | $12.30 | $14.79 |
DeanCare Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $9.77 Median $12.30 Typical High $14.79 | Professional | 81 · Minimal assistant surgeon | $9.77 | $12.30 | $14.79 |
DeanCare Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $9.77 Median $12.30 Typical High $14.79 | Professional | 82 · Assistant surgeon, no resident | $9.77 | $12.30 | $14.79 |
DeanCare Setting Professional Modifier AS · PA/NP assist Typical Low $8.51 Median $10.72 Typical High $12.88 | Professional | AS · PA/NP assist | $8.51 | $10.72 | $12.88 |
Where Wisconsin sits
The same service costs 3.5 times more in Alaska than in Florida. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
Wisconsin· 2nd of 51
$85.11
AK $95.50FL $26.92
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.